Individual
DR. PAUL B. HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16760 N HIGHWAY 41, RATHDRUM, ID 83858-8715
(208) 687-9113
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0018883
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406995100
—
MD
Enumeration date
08/11/2006
Last updated
05/05/2014
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